| NPI | 1043221864 |
|---|---|
| Doing Business As | NEW LIFE SURGICAL |
| Entity Type | Organization |
| Authorized Contact | DANA L EVANS Provider Enrollment Rep 270-744-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-09-24 |